1.Easy
A patient is colonized with vancomycin-resistant enterococci (VRE). Which precautions are used?
- ADroplet precautions
- BAirborne precautions
- CContact precautions
- DProtective (reverse) isolation
2.Easy
Which precautions are used for a patient with rubella (German measles)?
- AAirborne precautions
- BStandard precautions only
- CDroplet precautions
- DContact precautions only
3.Easy
When is hand hygiene needed in relation to wearing gloves?
- ABefore putting gloves on and after taking them off
- BOnly before putting gloves on
- CNever, because gloves replace hand hygiene
- DOnly if the gloves are torn
4.Medium
Where should the dispersive (grounding) pad for electrosurgery be placed?
- AOn skin that is wet with antiseptic prep
- BOver a bony prominence such as the hip bone
- COn clean, dry skin over a well-perfused muscle, close to the surgical site
- DOver an area with scar tissue or a tattoo, so that the pad does not slip
5.Medium
A family member will visit a patient on contact precautions. What should the nurse do?
- AAsk them to wear an N95 respirator only, with no gown or gloves
- BTell them visits are not allowed at all
- CShow them how to use the gown and gloves and how to clean their hands
- DTell them precautions only apply to staff
6.Medium
Which kitchen practice helps prevent scald burns in young children?
- ALeave hot drinks at the edge of the table
- BTurn pot handles toward the back of the stove
- CHold the child while drinking a hot drink
- DLet the child stand on a chair beside the stove
7.Hard
A nurse who is not immune to chickenpox was exposed to a patient with varicella before precautions began. What usually happens?
- AThe nurse must take a two-week course of antibiotics to prevent the infection
- BThe nurse continues working with all patients as usual, including newborns
- CThe nurse is assessed and kept from patient contact during the incubation period per policy
- DThe nurse only needs to wear gloves for the next month
8.Hard
A patient with pulmonary tuberculosis has been on treatment. Which findings usually allow airborne isolation to end?
- AThree negative sputum smears, clinical improvement and continued therapy
- BThe patient has been in hospital for one week and has taken every dose of medicine
- CThe cough has stopped, even with no sputum tests
- DOne negative chest x-ray after starting treatment
Answer key
- 1. C · Contact precautions
- 2. C · Droplet precautions
- 3. A · Before putting gloves on and after taking them off
- 4. C · On clean, dry skin over a well-perfused muscle, close to the surgical site
- 5. C · Show them how to use the gown and gloves and how to clean their hands
- 6. B · Turn pot handles toward the back of the stove
- 7. C · The nurse is assessed and kept from patient contact during the incubation period per policy
- 8. A · Three negative sputum smears, clinical improvement and continued therapy
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